JUSTIN ENGELBERT PA-C
NPI 1619313624
Physician Assistant in New York, NY

Active since May 16, 2013PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
156 W 56TH ST, NEW YORK, NY 10019(212) 283-3000 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2025, Oct 11, 2016 (2 updates tracked since 2016).

About Justin Engelbert Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN ENGELBERT PA-C (NPI 1619313624) is an individual physician assistant in New York, New York, licensed in New York (016485-1) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1619313624
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN ENGELBERTCredential: PA-C
Location Address156 W 56TH STNew York, NY 10019-3800
Mailing Address156 W 56th StNew York, NY 10019-3800 · (212) 283-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 16, 2013
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1619313624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 016485-1
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

156 W 56TH ST, New York, NY 10019

Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425-0100 · Phone (843) 792-1414

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Justin Engelbert Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284934522
PECOS Enrollment IDI20161031001625, I20251201003610
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
121 services52 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
100 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services49 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier12 claims12 services$38.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
156 W 56TH ST, SUITE 1003
NEW YORK, NY 10019
Speech-Language Pathologist
156 W 56TH ST
NEW YORK, NY 10019
Nurse Practitioner (Family)
156 W 56TH ST, SUITE 1003
NEW YORK, NY 10019
Case Manager/Care Coordinator
156 W 56TH ST
NEW YORK, NY 10019
Physician Assistant (Medical)
156 W 56TH ST
NEW YORK, NY 10019
Social Worker
156 W 56TH ST
NEW YORK, NY 10019
Specialist
156 W 56TH ST
NEW YORK, NY 10019
Physician Assistant
156 W 56TH ST
NEW YORK, NY 10019

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Engelbert's NPI number?

The NPI number for Justin Engelbert is 1619313624. It was assigned to this individual provider in the NPPES registry on May 16, 2013.

Where is Justin Engelbert located?

Justin Engelbert practices at 156 W 56th St, New York, NY 10019. The listed phone number is (212) 283-3000.

What is Justin Engelbert's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Justin Engelbert enrolled in Medicare?

Yes. Justin Engelbert is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Justin Engelbert affiliated with any hospitals?

According to CMS data, Justin Engelbert is affiliated with Musc Medical Center and Beaufort County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Justin Engelbert was last updated on November 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.